45 NE 94 St (21)PERMIT APPLICATION FOR MIIAMI SHORES VILLAGE
Date Job Address / `� y E % / Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant X /
Owner's Address Phone O . S 7 �' ��
ee C jl ° s Master Permit # 94A4
Contracting Co � ( ®W V- r Address
Qualifier
State # Municipal #
Architect/Engineer
Bonding Company Address
Mortgagor Address
SS#
Competency # Ins. Co.
Address
Phone
Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
•
WORK DESCRIPTION
Square Ft. Estimated Cost (value) , ?2 2'
Notary as to Owner and/or Condo President Date No as to Contractor
My Commission Expires: My Commission Expire
r
FEES: PERMIT RADON
C.C.F. ' o NOTARY BOND
7/45447t,(24
C.Je- d r Date
OFFI
CltagSgA,
CLAD ,
i` ",WA r PUauc SICPTECF fi �
COMMICS1CP ISO. Cc »4 1 ,03
MY COMMGTON EXP. KAM 1,21r
TOTAL DUE 3S
APPROVED:
Zoning Building
q464 Electrical
Mechanical Plumbing Structural Engineer
•
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
� �1 x.000
Signature of owner and/or Condo President Date Signature of Contract 05_ 22 p Owner - Builder Dnto ��
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/0/21/9 Job Address 75 �, 9" Si`.
Date �J
Legal Description) / 44 1, 1 1 ( 4 1. 4g lie//
/
Owner / Lessee / Tenant Pena L. DG7Y - Master Permit # 3 C
Owner's Address 7 S 7 9Y Si. Phone 7S X4437 knee
757 - ? /y/ 04
Contracting Co. 0 kife✓' Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C Pell '- pa;v I 5e Gii 1 1
Square Ft. Estimated Cost(value) 7.1t ` � )
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * *
FEES: PERMIT L ; 7, --5 ---. 10 RADON C.C.F. 4,90 NOTARY
APPROVED: Fire
Zoning
Mechanical
Tax Folioft &a®® /j 'f3 ® 7
Signature ofontractor or Owner- Builder
Date: /
i '• n
P � • tar, as to • 's ' "o pit ; MIATT
y Commission
ommission e No. CC197545
a0
EPHINE d1UR04
* *
TOTAL DUE ✓, 6
Other
Electrical
Plumbing Engineering
Owner's Name and Address
STATE OF FLORIDA, D
COUNTY OF DADE. ss.
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Name and address of licensed contractor LA../.-4.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done J'
State work to be done and purpose of building (by floors)
Date
No Street
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof f - Covering
p c G '
Estimated Total cost of improvements $ " Amount of Permit $
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be p Iormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are e.
Permit No ° Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date , p Z ' Job Address
PERMIT APPLICATION FOR MIAMI SE
4 7 4 -C — .S ri Folio
Legal Description Historically Designate
Owner/Lessee / Tenant Al- M E E SA' (7 S lb! Spring Bud erg (-4 c 1 4 T •5A -3P
Owner's Address Ph
Contracting Co. (5\ec-y/k l /& Address
Sterling 5 M qt9 8A -3P
Qualifier SS# - Ni E�-1 ro 6oa.S -
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL / ROOFING PAVING FENCE .,-...
WORK DESCRIPTION P/9-7-/(47- EX.
!� 7 E, .-Qle �F Noc /SE
P»r,vr booF ` /HtrE tD 1tV ��ZTic.
Square Ft. Estimated Cost (value) , Z' 0 ,
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
APPROVED:
Zoning
Mechanical
Building
Signature of Contractor or —r- Builder Date
Electrical
f �
Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder
My Commission Expires: My Commission Expires;_ _
1 1 4 1 Po OFFIGIAL NOTARY UAL
,9 No t fi s AN®RA N fl L
MON
4. COMMISSION NUMBER
� q CC401261
ti 0
?� �„ 4. NT COMMISSION EXP.
s0 : FA AUG. 17 19O8
FEES: PERMIT C/O • RADON C.C.F. v �( NOTARY � BOND
TOTAL DUE 4 K3`-
Plumbing Engineering